Patient Access Representative - FT, Night (11P-7:30A) - Methodist ED

Jefferson; United States; On-site; USD 42,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Life insurance

AD&D insurance

Disability insurance

Retirement plans

Tuition assistance

Flexible spending accounts

Job summary

Jefferson seeks a Patient Access Representative to register patients, verify insurance, and collect demographics for outpatient visits. You will search for and assign medical records, verify coverage using Real Time Eligibility and payer websites, and ensure proper referrals are on file.

Responsibilities include collecting out-of-pocket liability, working across outpatient registration and ED points of service, and maintaining accuracy in the EHR (EPIC/Cerner) while delivering excellent customer

Qualifications

• High School Diploma or GED required; an Associate degree in healthcare or business administration preferred.
• Emergency Department experience: at least 3 years in hospital/physician practice or related healthcare setting with strong customer service.
• Current Jefferson Seamless Access Representatives with ≥1 year of experience will be considered as meeting the experience requirement.

Responsibilities

• Register patients and gather complete demographic and insurance information.
• Verify insurance and determine patient liability, referrals and authorizations as needed.
• Use EPIC or Cerner for charting and order entry; collect vital information accurately.
• Communicate with patients and families to provide a positive experience and explain processes.

Skills

Customer service

Communication

Registration experience

Medical terminology

EHR proficiency

Education

High School Diploma or GED

Associates degree in healthcare or business administration

Tools

EPIC

Cerner

Phreesia

Microsoft Office

Job description

Job Details

Number of Positions In Requisition 1 Job Details 11P-7:30A M-F & Every Other Weekend - 1 day off each weekday - 40 hours total Every other Holiday Required

Responsibilities

Provides a positive patient experience to patients and families. Demonstrates strong communication and customer service skills while registering patients. Accurately searches and selects the correct patient. Gathers complete and accurate demographic and insurance information from patients and families. Identifies uninsured patients for referral to Medical Assistance/Charity Care evaluation. Retrieves orders, confirms medical necessity and answers phones for outpatient visits. Gathers worker’s comp or auto insurance information from accident patients, collects patient out-of-pocket liability/copays, verifies insurance, and confirms referrals and authorizations are on file, if required.

Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Gathers accurate demographic information to identify Jefferson patients who have an existing medical record number or new Jefferson patients who need a medical record number assigned Requests photo ID and insurance cards, scanning copies Records complete and accurate demographic and insurance information. Entering orders and confirming medical necessity for outpatient visits, if appropriate. Interviewing patients to accurately complete the Medicare Secondary Payer (MSPQ) questionnaire for all Medicare patients. Uses RTE (Real Time Eligibility), Phreesia or payer websites to verify patients’ insurance coverage and benefits including patient’s out of pocket liability. Ensures proper referral and authorizations are on file as needed. Completes all activities with adherence to departmental and institutional protocols Assures regulatory and compliance requirements are met Achieves individual and team performance metrics Communicates and collects out-of-pocket liability from patients at the time of service Rotates assignment to all points of service areas within Patient Access (Outpatient Registration and Emergency Department) Proficient with computer and Microsoft Office skills and familiar with healthcare EHR applications i.e. EPIC, Cerner Knowledge of medical terminology and/or third-party insurance coverage including managed care plans Strong verbal and written communication and customer service skills Meticulous attention to detail

Qualifications

Minimum Education and Experience Requirements Required High School Diploma or GED, Associates degree in healthcare or business administration preferred AND Emergency Department: Minimum 3 years experience in hospital, physician practice, or other related healthcare environment customer service. Prior registration experience in Emergency Dept preferred. Current Jefferson Seamless Access Representatives with a minimum of 1 year of experience will be considered as meeting the experience requirement.

Work Shift

Work Shift Workday Night (United States of America) Worker Sub Type Regular Employee Entity Thomas Jefferson University Primary Location Address 2301 South Broad Street,, Philadelphia, Pennsylvania, United States of America

About the Employer

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, We Improve Lives, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.